Claim total
$37,110.30
base $155.66 · payer covered $22,827.21
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-05-16
- Stop
- 2022-05-16
The parties
- Patient
- patient Sabine Starr Pacocha
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
1db13722-5268-669f-8fb8-5f002829b03e